My distal finger and toe joints have progressively worsened in swelling and discomfort for 6 years. When I experience "flares" I will have a low-grade fever and sore hands and feet along with extreme fatigue. I am a physically fit mother of 4 and have with a family history of both psoriasis and arthritis. I have chosen to avoid medicatiins thus far as the side effects seem worse than the disease. I try not to be depressed and just be thankful for the beauty in life.